Intention to khat chewing among youths in Raya-Azebo district, southern zone of Tigray, Ethiopia: application of the theory of planned behavior.

Journal: Frontiers in public health

Volume: 12

Issue: 

Year of Publication: 2025

Affiliated Institutions:  Department of Public Health, College of Medicine and Health Sciences, Adigrat University, Adigrat, Ethiopia. Department of Preventive Medicine, School of Public Health, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.

Abstract summary 

Khat chewing has become a global phenomenon, resulting in significant physical and mental health issues as well as socioeconomic crises. However, evidence is scarce on Ethiopian youths' behavioral intentions toward khat chewing, particularly in the Raya-Azebo district of the southern zone of the Tigray region. As a result, this study aimed to assess the intention to chew among youths in Raya-Azebo district, Southern Tigray, Ethiopia.A community-based cross-sectional survey was conducted among 627 youths in northern Ethiopia's Raya-Azebo district. Data were collected using a structured, interviewer-administered questionnaire. A multivariable linear regression model was used to predict the contribution of independent variables and identify variables strongly associated with chewing among youths.A considerable proportion, 192 (30.62%) of youths, had the intention to chew khat in the next 6 months. The component of the theory of planned behavior independently explained the variance in intention to chew by 83%. The strongest predictors of intention to chew were attitude ( = 0.35,  < 0.001), subjective norm ( = 0.297,  < 0.001), and perceived behavioral control ( = 0.15,  = 0.01).Behavioral intention toward khat chewing was a function of attitude, subjective norm, and perceived behavioral control toward khat chewing. Strategies to empower youths to change a positive attitude toward khat chewing, programs targeted at resisting social pressures, and increasing self-efficacy to combat chewing are needed.

Authors & Co-authors:  Atsbaha Abadi Hailay AH Mekonnen Adugnaw Berhane AB Ketema Bezawit B Gebrehiwot Tigist Haile TH Gebru Hirut Teame HT Alemseged Embay Amare EA Angaw Yonas Y Gebremedhin Haftay H Gebremeskel Fre F Hidru Hagos Degefa HD Gufue Zenawi Hagos ZH

Study Outcome 

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Statistics
Citations :  Megerssa B, Esayas A, Mohamed A. Socio-economic impact of Khat in Mana District, Jimma zone, South Western Ethiopia. Agric Sci. (2013) 1:44–59.
Authors :  11
Identifiers
Doi : 1417874
SSN : 2296-2565
Study Population
Male,Female
Mesh Terms
Humans
Other Terms
Ethiopia;Raya Azebo;intention;khat;khat chewing;theory of planned behavior;youths
Study Design
Cross Sectional Study
Study Approach
Country of Study
Ethiopia
Publication Country
Switzerland